Provider Demographics
NPI:1194433730
Name:L K SAH DENTAL CORP.
Entity type:Organization
Organization Name:L K SAH DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-230-8336
Mailing Address - Street 1:33087 BRADCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-3446
Mailing Address - Country:US
Mailing Address - Phone:916-230-8336
Mailing Address - Fax:
Practice Address - Street 1:11201 CALIFORNIA ST STE D
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4247
Practice Address - Country:US
Practice Address - Phone:909-674-0051
Practice Address - Fax:909-674-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental